What does NonPAR stand for?

NonPAR stands for Nonparticipating, which refers to physicians or healthcare providers who do not have a contractual agreement with a specific insurance plan to provide services to its members at predefined rates. Nonparticipating providers typically do not accept the insurance company's payment rates as full payment for their services. As a result, they may charge patients higher fees, and the patients might be responsible for a larger portion of the bill.

This designation is important in the context of billing and insurance as it affects the reimbursement rates and out-of-pocket costs for patients. Understanding the distinction between participating and nonparticipating providers is crucial for effective billing practices and ensuring compliance with insurance policies.